[Determining factors in decisions regarding cardio-pulmonary resuscitation in patients with cerebral hemorrhage].
OBJECTIVE
Some medical factors related with cardiopulmonary resuscitation (CPR) outcome are known. Moreover, there are other factors, not strictly medical ones, as age, gender, race and socioeconomic status, that influence on decisions of CPR. The aim of this study was to analyse the influence of all this factors on in-hospital CPR of the patients with intracerebral hemorrhage.


METHODS
This retrospective study comprised all the consecutive patients hospitalized with spontaneous intracerebral hemorrhage who died within 30 days of hospital admission in a public hospital during the period 1987-1994. We used stepwise logistic regression to identify variables that had a significant independent relation with decision of CPR.


RESULTS
We identified 73 patients, 50 men and 23 women. Their mean age was 61 years. RCP was performed in 25 patients (34%). A logistic regression revealed that age (OR 0.8), Glasgow score on admission (OR 0.67) and time of death (OR 1.2) were significantly associated with CPR decision.


CONCLUSIONS
CPR was less probable in aged even though they had better level of consciousness on admission. Moreover, CPR was less probable early in the morning.
Ara
J R
JR
Servicio de Neurología, Hospital Miguel Servet, Zaragoza, España.
Martín
J
J
Bestué
M
M
Brieva
L
L
Iturriaga
C
C
Capablo
J L
JL
D000328:Adult; D000368:Aged; D016887:Cardiopulmonary Resuscitation; D002543:Cerebral Hemorrhage / Q000150:complications*; D003128:Coma / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012720:Severity of Illness Index
Factores determinantes de las decisiones de reanimación cardiopulmonar en pacientes con hemorragia cerebral.